Bimekizumab-induced eczematous eruption treated successfully with sequential upadacitinib and dupilumab therapy

Main Article Content

Nicole Bouché
Alice Sohn
Eingun James Song

Keywords

General dermatology, Medical dermatology, Immunodermatology, Biologics, Drug response, Clinical research

Abstract

Bimekizumab, a selective IL-17A and IL-17F inhibitor, is FDA-approved for the treatment of adults with moderate-to-severe plaque psoriasis and psoriatic arthritis. While IL-17 inhibitors are generally well tolerated, there have been reports of eczematous eruptions after starting treatment with this medication class. Herein, we report a case of bimekizumab-induced eczematous eruption that partially cleared with upadacitinib (selective oral JAK 1 inhibitor), but ultimately required switching to dupilumab to achieve complete skin clearance.

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